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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414002060
Report Date: 10/23/2024
Date Signed: 10/23/2024 12:45:52 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/12/2024 and conducted by Evaluator Melissa Zaragoza
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240712103324
FACILITY NAME:MADLAMBAYAN, LUCIA CECILIAFACILITY NUMBER:
414002060
ADMINISTRATOR:MADLAMBAYAN, LUCIA C.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 873-5837
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:14CENSUS: 0DATE:
10/23/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Licensee, Madlambayan LuciaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
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9
Staff not providing a safe environment for daycare children.
INVESTIGATION FINDINGS:
1
2
3
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5
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9
10
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12
13
On October 23, 2024, at approximately, 12:00 PM, Licensing Program Analysts (LPAs) Melissa Zaragoza and Maria Olguin Leon conducted an unannounced, complaint visit to deliver the findings. LPAs met with license, Madlambayan, Lucia Cecilia, and the purpose of the visit was explained. Present in the facility today was licensee only and 0 children. Per licensee, there is only 1 child enrolled, who is currently on vacation.

During investigation, LPA conducted research, interviews, and walk through observation inspections of the home. LPA observed plants in the homes outdoor area. LPA observed an Oleander plant to be made inaccessible to children in care. Plant was cut down and has a child proof gate around it. LPA reminded licensee to not allow Oleander plant to grow tall and to always have plant inaccessible to children, to prevent any health or safety risk.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted and report was reviewed with licensee, Madlambayan, Lucia Cecilia. A copy of this report was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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